Home & Contents Insurance Quote Baldivis

Contact Name
Email Address
Phone
Postcode
Preferred method of contact—Please choose an option—EmailPhone
Date Of Incident
Date of Birth of the oldest insured
Address
Type of building —Please choose an option—HouseUnitDuplexTriplexFlatVillaTownhouseTerraced HouseSemi DetachedUnknownOther
Occupancy —Please choose an option—I Own & Live In The HomeI Own & Rent Out The Home To TenantsThe property Is Used As A Hostel Or Guest HouseIts My Holiday HomeIt's My Home And It's Currently UnoccupiedI Am A Tenant In The HomeOther
Is the home used for business use?YesNo
Is there a mortgage on the homeYesNo
Approx. When Was The Home Built—Please choose an option—2000-20151990-19991980-19891970-19791960-19691946-19591891-19131840-1890
Any Repairs Or Renovation Currently Being Done To The HomeYesNo
Has the home been built to cyclone standardsYesNoUnknown
What Is The Roof Made Of?—Please choose an option—AluminiumAsbestosCement TileCopperColour BondConcrete TileFibro SheetingIronShingleTerracotta / ClayThatchUnknown
What are The walls made of?—Please choose an option—Aluminium / ZinkAsbestosBrick VeneerCladdingConcreteDouble BrickFibro SheetingHandiplankIronMudbrickRammed EarthSandwhich FoamSolid StoneworkStrawTimberVeneer StoneworkUnknown
Security on external doorsDeadlocksSecurity ScreenNone
Security on external windowsKey LocksSecurity Screens / BarsRoller ShutterNone
Other Security24 Hour Monitored AlarmLocal AlarmFixed SafeGated CommunityOther
Building Sum Insured
Contents Sum Insured
Do you require any special valuables insurance? If so please provide further detail
How many years have you had insurance on this property?
If previously insured, who was the insurer?
In the last 4 years have any of the insurers had a building and/or contents claim at this location?YesNo
If yes to the previous question, please confirm details
Any additional information you would like us to know about this policy?

I confirm the above information is true and correct